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Reflections on the current context and assessment of undergraduate medical education in Brazil.
Revista do Colegio Brasileiro de Cirurgioes Pub Date : 2025-01-17 eCollection Date: 2025-01-01 DOI: 10.1590/0100-6991e-20243857-en
Gerson Alves Pereira Júnior, Ramiro Colleoni Neto, Rosana Alves, Hermila Tavares Vilar Guedes, Jorge Carvalho Guedes, Pedro Tadao Hamamoto Filho, José Eduardo Lutaif Dolci, Cesar Eduardo Fernandes
{"title":"Reflections on the current context and assessment of undergraduate medical education in Brazil.","authors":"Gerson Alves Pereira Júnior, Ramiro Colleoni Neto, Rosana Alves, Hermila Tavares Vilar Guedes, Jorge Carvalho Guedes, Pedro Tadao Hamamoto Filho, José Eduardo Lutaif Dolci, Cesar Eduardo Fernandes","doi":"10.1590/0100-6991e-20243857-en","DOIUrl":"10.1590/0100-6991e-20243857-en","url":null,"abstract":"<p><p>This reflection article can be divided into two complementary parts. The first shows the current context of medical education in Brazil, bringing the most recent data on the number of undergraduate students and its growing gap in relation to the reduced number of vacancies in medical residency, which, despite being the most appropriate modality to train specialists, has been overlooked by the excessive number of lato sensu graduate courses. The second part discusses the possibilities of evaluating medical training, which is terminal in Brazil, enabling the newly graduated physician to claim the professional registration and to practice medicine, being evaluated only by their own medical course. It also reviews the historical evolution and pros and cons of evaluating medical education for doctors trained both locally and abroad.</p>","PeriodicalId":21454,"journal":{"name":"Revista do Colegio Brasileiro de Cirurgioes","volume":"51 ","pages":"e20243857"},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665328/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comments on "Reflections on the current context and evaluation of undergraduate medical education".
Revista do Colegio Brasileiro de Cirurgioes Pub Date : 2025-01-17 eCollection Date: 2025-01-01 DOI: 10.1590/0100-6991e-20243858-en
Vania Fontanella, Maria Celeste Morita
{"title":"Comments on \"Reflections on the current context and evaluation of undergraduate medical education\".","authors":"Vania Fontanella, Maria Celeste Morita","doi":"10.1590/0100-6991e-20243858-en","DOIUrl":"10.1590/0100-6991e-20243858-en","url":null,"abstract":"<p><p>The authors debate the arguments presented in the editorial \"Reflections on the current context and evaluation of undergraduate medical education\", bringing the context that culminated in the recent application of the National Proficiency Exam in Dentistry.</p>","PeriodicalId":21454,"journal":{"name":"Revista do Colegio Brasileiro de Cirurgioes","volume":"51 ","pages":"e20243858"},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
50 Years of the Journal of the Brazilian College of Surgeons: History, Evolution and Future Prospects.
Revista do Colegio Brasileiro de Cirurgioes Pub Date : 2025-01-17 eCollection Date: 2025-01-01 DOI: 10.1590/0100-6991e-20243862EDIT01-en
Gerson Alves Pereira Junior, Andreia Cristina Feitosa DO Carmo, Julia Castro Neves, Ramiro Colleoni Neto
{"title":"50 Years of the Journal of the Brazilian College of Surgeons: History, Evolution and Future Prospects.","authors":"Gerson Alves Pereira Junior, Andreia Cristina Feitosa DO Carmo, Julia Castro Neves, Ramiro Colleoni Neto","doi":"10.1590/0100-6991e-20243862EDIT01-en","DOIUrl":"10.1590/0100-6991e-20243862EDIT01-en","url":null,"abstract":"<p><p>This article celebrates the 50th anniversary of the continuous publication of the Journal of the Brazilian College of Surgeons (RCBC), revisiting its trajectory from the beginning to the present day. RCBC has evolved from a nationally relevant publication to a journal with international impact, constantly adapting to changes in editorial and scientific practices. This article presents an analysis of the major milestones, editorial changes, and innovations that have cemented RCBC as a prominent scientific vehicle. In addition, it discusses future strategies to maintain editorial quality and increase the visibility of the journal in the global scientific scenario.</p>","PeriodicalId":21454,"journal":{"name":"Revista do Colegio Brasileiro de Cirurgioes","volume":"51 ","pages":"e20243862EDIT01"},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of adrenal tumors and analysis of the metabolic profile of patients with incidentaloma.
Revista do Colegio Brasileiro de Cirurgioes Pub Date : 2025-01-17 eCollection Date: 2025-01-01 DOI: 10.1590/0100-6991e-20243685-en
Pedro Victor Gonçalves Montalvão, Iuri Moura Mangueira, Gabriel DA Motta Alves, João Vitor Fazzio Cordeiro, Marcia Helena Soares Costa, Guilherme DE Andrade Gagheggi Ravanini
{"title":"Evaluation of adrenal tumors and analysis of the metabolic profile of patients with incidentaloma.","authors":"Pedro Victor Gonçalves Montalvão, Iuri Moura Mangueira, Gabriel DA Motta Alves, João Vitor Fazzio Cordeiro, Marcia Helena Soares Costa, Guilherme DE Andrade Gagheggi Ravanini","doi":"10.1590/0100-6991e-20243685-en","DOIUrl":"10.1590/0100-6991e-20243685-en","url":null,"abstract":"<p><strong>Introduction: </strong>Advances in imaging methods have led to an increasingly frequent diagnosis of adrenal gland lesions as incidental findings. Despite progress in this field, there is still limited information regarding the epidemiology of the clinical and metabolic profile of patients with adrenal incidentaloma (AI). The objective is analyze the epidemiology of adrenal tumors at Gaffrée e Guinle University Hospital (HUGG) and compare it with data from the literature.</p><p><strong>Method: </strong>This is a cross-sectional study that included patients of any gender and age who was treated at HUGG for adrenal tumors.</p><p><strong>Results: </strong>The following variables were evaluated: age, gender, functionality, benignity, and size. We also analyzed the metabolic profile of patients with AI, specifically those with mild autonomy cortisol secretion. Out of 31 patients with adrenal tumors, 68% were female. The mean age was 55 years with a standard deviation of ±16.2. 54% of the sample had adrenal incidentalomas. 93.6% of the sample had benign cases. Among the adrenal incidentalomas, 53% were non-functioning. In patients with adrenal tumors, only 10% had metabolic syndrome, while in patients with mild autonomous cortisol secretion, this number rose to 17%.</p><p><strong>Conclusion: </strong>The sample of patients with adrenal tumors and incidentaloma at HUGG presented a prevalence of metabolic complications similar to that found in the literature.</p>","PeriodicalId":21454,"journal":{"name":"Revista do Colegio Brasileiro de Cirurgioes","volume":"51 ","pages":"e20243685"},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11702972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Current context and evaluation of medical residency programs: experience of six Brazilian Medical Societies.
Revista do Colegio Brasileiro de Cirurgioes Pub Date : 2025-01-17 eCollection Date: 2025-01-01 DOI: 10.1590/0100-6991e-20243861-en
Gerson Alves Pereira Júnior, Ramiro Colleoni Neto, Jair Giampani Júnior, Jorge Carvalho Guedes, Reginaldo Raimundo Fujita, Adriano Fernando Mendes Júnior, Gustavo Salata Romão, Lucas Nepomuceno Barros, Luiz Alonso David, Paulo Fernando Constancio DE Souza, José Eduardo Lutaif Dolci, Cesar Eduardo Fernandes
{"title":"Current context and evaluation of medical residency programs: experience of six Brazilian Medical Societies.","authors":"Gerson Alves Pereira Júnior, Ramiro Colleoni Neto, Jair Giampani Júnior, Jorge Carvalho Guedes, Reginaldo Raimundo Fujita, Adriano Fernando Mendes Júnior, Gustavo Salata Romão, Lucas Nepomuceno Barros, Luiz Alonso David, Paulo Fernando Constancio DE Souza, José Eduardo Lutaif Dolci, Cesar Eduardo Fernandes","doi":"10.1590/0100-6991e-20243861-en","DOIUrl":"10.1590/0100-6991e-20243861-en","url":null,"abstract":"<p><p>This article shows the most recent data on the evolution of the number of resident physicians and vacancies from R1 to R5, as well as the number of programs and institutions accredited by the National Commission for Medical Residency (CNRM). It also discusses the types and modalities of evaluation of medical residency, with a focus on the assessment of competencies throughout in-service training, which were incorporated into the most recent CNRM resolution, at the end of 2023, which amended and updated the 2006 directives. Finally, it shows the experience of six Medical Societies that conduct periodic evaluation of resident physicians, presented at a Brazilian Medical Association event.</p>","PeriodicalId":21454,"journal":{"name":"Revista do Colegio Brasileiro de Cirurgioes","volume":"51 ","pages":"e20243861"},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11702973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Current context and the experience of Brazilian Medical Societies with Specialist Title Exams.
Revista do Colegio Brasileiro de Cirurgioes Pub Date : 2025-01-17 eCollection Date: 2025-01-01 DOI: 10.1590/0100-6991e-20243863EDIT01-en
Gerson Alves Pereira Júnior, Ramiro Colleoni Neto, Jair Giampani Júnior, Jorge Carvalho Guede, Ana Cristina Kfouri Camargo, Fábio Teruo Matsunaga, Roseli Mieko Yamamoto Nomura, Felipe Oliveira Marques, José Eduardo Lutaif, Cesar Eduardo Fernandes
{"title":"Current context and the experience of Brazilian Medical Societies with Specialist Title Exams.","authors":"Gerson Alves Pereira Júnior, Ramiro Colleoni Neto, Jair Giampani Júnior, Jorge Carvalho Guede, Ana Cristina Kfouri Camargo, Fábio Teruo Matsunaga, Roseli Mieko Yamamoto Nomura, Felipe Oliveira Marques, José Eduardo Lutaif, Cesar Eduardo Fernandes","doi":"10.1590/0100-6991e-20243863EDIT01-en","DOIUrl":"10.1590/0100-6991e-20243863EDIT01-en","url":null,"abstract":"<p><p>The editorial discusses the need for the Specialist Title to be valued by Medical Societies, as a stage after the conclusion of medical residency and a mandatory prerequisite for taking the tests. Finally, it shows the experience of seven Medical Societies with their specialist title exams.</p>","PeriodicalId":21454,"journal":{"name":"Revista do Colegio Brasileiro de Cirurgioes","volume":"51 ","pages":"e20243863"},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ethical and legal aspects concerning robotic surgery in Brazil. 巴西机器人手术的伦理和法律问题。
Revista do Colegio Brasileiro de Cirurgioes Pub Date : 2025-01-13 eCollection Date: 2025-01-01 DOI: 10.1590/0100-6991e-20243787-en
Eduardo Neubarth Trindade, Estéfani Luise Fernandes Teixeira, Vanessa Schimidt Bortolin, Lucas Dos Santos Difante, Manoel Roberto Maciel Trindade
{"title":"Ethical and legal aspects concerning robotic surgery in Brazil.","authors":"Eduardo Neubarth Trindade, Estéfani Luise Fernandes Teixeira, Vanessa Schimidt Bortolin, Lucas Dos Santos Difante, Manoel Roberto Maciel Trindade","doi":"10.1590/0100-6991e-20243787-en","DOIUrl":"https://doi.org/10.1590/0100-6991e-20243787-en","url":null,"abstract":"<p><p>Robotic surgery is a technological milestone that directly impacts the provision of healthcare services. Procedures that utilize robotics are continuously being developed. In this context, it is important to analyze the distribution of ethical and civil liability among doctors, hospitals, and suppliers of surgical equipment in cases of alleged medical errors or adverse events that may harm patients. This review aims to examine the civil and ethical liability of the parties involved in robotic surgeries, as well as possible means to avoid legal complications related to these procedures concerning the Medical Councils and the judicial system.</p>","PeriodicalId":21454,"journal":{"name":"Revista do Colegio Brasileiro de Cirurgioes","volume":"51 ","pages":"e20243787"},"PeriodicalIF":0.0,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Commentary on "Reflections on the Inclusion of Direct-Care Physicians as Educators in Community Hospitals". 对“社区医院纳入直接护理医师教育工作者的思考”的评论。
Revista do Colegio Brasileiro de Cirurgioes Pub Date : 2025-01-13 eCollection Date: 2025-01-01 DOI: 10.1590/0100-6991e-20243865-en
Rosana Alves
{"title":"Commentary on \"Reflections on the Inclusion of Direct-Care Physicians as Educators in Community Hospitals\".","authors":"Rosana Alves","doi":"10.1590/0100-6991e-20243865-en","DOIUrl":"https://doi.org/10.1590/0100-6991e-20243865-en","url":null,"abstract":"<p><p>The article by Sweigart et al. presents concerns, challenges, and proposals for the current situation, both nationally and internationally, and the need for a diversity of medical care practice scenarios that simultaneously develop teaching abilities. Medical education is now conducted outside the university-affiliated teaching hospital, often in the so-called community or general hospitals dedicated to patient care. In Brazil, most of these hospitals are under municipal or state management.</p>","PeriodicalId":21454,"journal":{"name":"Revista do Colegio Brasileiro de Cirurgioes","volume":"51 ","pages":"e20243865"},"PeriodicalIF":0.0,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comments on "Reflections on the Inclusion of Direct-Care Physicians as Educators in Community Hospitals". 对《社区医院纳入直接护理医师教育工作者的思考》的评论。
Revista do Colegio Brasileiro de Cirurgioes Pub Date : 2025-01-13 eCollection Date: 2025-01-01 DOI: 10.1590/0100-6991e-20243859-en
Alexandre Slullitel
{"title":"Comments on \"Reflections on the Inclusion of Direct-Care Physicians as Educators in Community Hospitals\".","authors":"Alexandre Slullitel","doi":"10.1590/0100-6991e-20243859-en","DOIUrl":"https://doi.org/10.1590/0100-6991e-20243859-en","url":null,"abstract":"<p><p>We discuss the arguments exposed in the Letter to the Editor \"Reflections on the Inclusion of Direct-Care Physicians as Educators in Community Hospitals\", exploring the teaching competencies necessary for community preceptors in the context of medical education, highlighting the growing responsibility of these professionals in the training of future physicians in health-deprived regions. From a narrative review, we analyze faculty development (FD) programs, emphasizing their importance in improving teaching skills, creating support networks, and providing personalized content for specific challenges. Among the competence domains identified are teaching skills, evaluation criteria, professionalism, communication, and leadership/management. In addition, we suggest Entrustable Professional Activities (EPA) as tools to assess and develop these competencies. FD programs, when well structured, benefit preceptors, students, and communities, improving the quality of teaching and care outcomes.</p>","PeriodicalId":21454,"journal":{"name":"Revista do Colegio Brasileiro de Cirurgioes","volume":"51 ","pages":"e20243859"},"PeriodicalIF":0.0,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reflections on the Inclusion of Direct-Care Physicians as Educators in Community Hospitals. 社区医院纳入直接护理医师教育工作者的思考
Revista do Colegio Brasileiro de Cirurgioes Pub Date : 2025-01-13 eCollection Date: 2025-01-01 DOI: 10.1590/0100-6991e-20243856-en
René Scalet Dos Santos Neto, Danielle Bruginski, Ana Fátima Volkmann, José Andrade Moura Neto
{"title":"Reflections on the Inclusion of Direct-Care Physicians as Educators in Community Hospitals.","authors":"René Scalet Dos Santos Neto, Danielle Bruginski, Ana Fátima Volkmann, José Andrade Moura Neto","doi":"10.1590/0100-6991e-20243856-en","DOIUrl":"https://doi.org/10.1590/0100-6991e-20243856-en","url":null,"abstract":"<p><p>This paper discusses the increasing trend of direct-care physicians taking on teaching roles in community hospitals, both in the United States and Brazil. It highlights the challenges faced by these physicians, who often lack formal pedagogical training and dedicated time for teaching. The text emphasizes the need for structured support, faculty development programs, and collaboration with academic centers to ensure the quality of education in these settings. It also underscores the potential benefits of this model, such as increased access to medical training in underserved areas and a more hands-on learning experience for students. Overall, the document calls for a thoughtful and comprehensive approach to integrating direct-care physicians as educators, ensuring that this practice benefits both the physicians themselves and the quality of medical education.</p>","PeriodicalId":21454,"journal":{"name":"Revista do Colegio Brasileiro de Cirurgioes","volume":"51 ","pages":"e20243856"},"PeriodicalIF":0.0,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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